In 2016, Baltimore City signed a Payment In Lieu of Taxes Agreement with 14 hospitals and universities in the Baltimore Region. The institutions pay just 5% of their foregone property taxes. The institutions include:
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Grace Medical Center
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Johns Hopkins Hospital and Bayview
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Medstar Good Samaritan
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Medstar Harbor Hospital
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Medstar Union Memorial Hospital
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Mercy Medical Center
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Sinai Hospital
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St Agnes Hospital (Ascension Health Alliance)
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UMMC Shock Trauma and Rehab
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UM Midtown
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Johns Hopkins University
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Loyola University
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MICA
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Notre Dame of Maryland
These institutions use about $47 million in city services annually. Because they only pay $6 million per the PILOT agreement, Baltimore is losing out on $41 million. The PILOT agreement is up for renewal in 2026, and it must be reconfigured to support Baltimore City’s economy and uplift its most vulnerable residents.